Necrotic lesions in mouth.

RE: Necrotic lesions in mouth.

Charlotte Marshall — Sat, 25 Apr 2026 12:49:53 GMT

Unfortunately hindsight is wonderful. It was one of those extras on top of a busy morning - dog not eating check mouth. I meant to take photos but forgot in the press of everything else. I have seen the dog 5 days post up and from what I can see (does not allow much) the lesion on the top jaw looks much cleaner and on the bottom jaw seems a bit smoother and less inflammed around the edges. It's back this week and I have said if not continuing to heal it will need sedation to reevaluate. I have mentioned biopsies going forward and yes possible Xrays. It would be doable with a bit of warning! The dog was a lot happier and eating again the same day once the affected teeth were removed.

RE: Necrotic lesions in mouth.

Evelyn Barbour-Hill — Wed, 22 Apr 2026 16:13:49 GMT

[quote userid="4747" url="~/f/clinical-questions/31347/necrotic-lesions-in-mouth"]lesion on the mandible was particularly bad with necrotic bone with loose spicules of bone.[/quote]

It would be really good to have some radiographs of the area unless the owner is already absolutely p***** off. You can get useful images with almost any system with a bit of ingenuity. The angles may be far from ideal and superimposition might be a problem, but they will still be useaful.

RE: Necrotic lesions in mouth.

Rachel Perry — Wed, 22 Apr 2026 07:08:48 GMT

Doo you have any photos you could share please?

RE: Necrotic lesions in mouth.

Virginia Campbell — Tue, 21 Apr 2026 18:19:46 GMT

How old is the dog, and did you do any bloods? On one memorable occasion in my worst ever job the boss said at about 12.30 " oh here's a dental, I've estimated him fifty euro. Can you get on and do that now? The dog isn't well with it, so it needs done now. I told him to pick it up at 4". The dog was an elderly Jack Rusell and I protested that I could smell the mouth from across the room and that it would likely take time and care, and that I had consults starting at 2. "But sure the teeth are rotten, you'll have them all out in ten minutes. I'm off TB testing , bye". Along with the help of my trusty lone RVN/receptionist/floor mopper/ TB admin bod, I anaesthetised the dog. Wiggled a mandible- pre-existing pathological fracture halfway along it. Great. Sweated bullets doing full mouth extractions using crappy blunt instruments (and no drill) from bone with the consistency of rotten timber everywhere; I think I chickened out of the lower canines but did everything else, headachey, hungry and needing a wee (having not stopped all morning) whilst hearing the 2.00 and the 2.10 and the 2.20 consults arriving and filling the waiting room.

I can't remember if we sent the bloods then or later; I do remember that it survived the GA, but not the crashing renal failure that it turned out to be in , the horrible bone presumably being due to rubber jaw/ renal secondary hyperparathyroidism.

I've done a couple of cats with teeth more dodgy/ pyorrhoea-y/ easily extracted than would be expected that turned out to have diabetes, too.

RE: Necrotic lesions in mouth.

Samantha Lane — Tue, 21 Apr 2026 17:12:57 GMT

Did you take biopsies of the tissue at the time of either procedure? Have the second two lesions now healed again?

RE: Necrotic lesions in mouth.

Charlotte Marshall — Mon, 20 Apr 2026 14:05:28 GMT

Fraid not we don't have dental Xray.

RE: Necrotic lesions in mouth.

Anthony Dennison — Mon, 20 Apr 2026 12:23:54 GMT

Did you take dental x-rays or skull radiographs to look for any bony changes?